Individual
JESSICA L MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, AT
Contact information
Practice address
901 W MAIN ST, LOWELL, MI 49331-1581
(616) 897-7055
(616) 897-7366
Mailing address
901 W MAIN ST, LOWELL, MI 49331-1581
(616) 897-7055
(616) 897-7366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015420
MI
2255A2300X
Athletic Trainer
2601000440
MI
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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